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The City of Lafayette <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010071 <br />286816 kja 14300-01 1 Minerals Annual Fees <br />M2010071 kja <br />Receipt #: <br />Date: <br />Permit: <br />16208 <br />10/17/2013 <br />M2010071 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />